SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17 (NPI# 1225279847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225279847 |
| Entity Type | Organization |
| Organization Name | SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17 |
| Practice Address |
5403 340th St E Eatonville WA 98328-9633 |
| Mailing Address |
Po Box 3510 Silverdale WA 98383-3510 |
| Practice Telephone | 2538474333 |
| Mailing Telephone | 3606131627 |
| Mailing Fax Number | 3606984968 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | SAM YOUNT (ASSISTANT CHIEF) |
| Authorized Official Telephone | 2538474333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 590015055 | 01 | |
| AK | GA001WA | 05 | |
| WA | L&I/CRIME VICTIMS | 0250027 | 01 |
| WA | 9063223 | 05 |
| Street Address |
5403 340TH ST E |
| City | EATONVILLE |
| State | WA |
| Zip Code | 98328-9633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053385286 | Pierce County Fpd #15 | Ambulance | 5403 340th St E, Eatonville, WA 98328-9633 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087706 | Melissa Dawn Taylor | Specialist/Technologist | 209 Lynch Creek Rd. E., Eatonville, WA 98328 | 2020-09-15 |
| 1922651652 | Diane Marie Crum | Nurse Practitioner | 118 Washington Ave. N, Eatonville, WA 98328 | 2019-07-22 |
| 1194182493 | Athena Ann Brown | Massage Therapist | 207 Center St E #c, Eatonville, WA 98328 | 2016-01-19 |
| 1881000446 | Rebecca Atkins | Counselor | 207 Center St E Ste C, Eatonville, WA 98328 | 2014-07-03 |
| 1215375118 | Diana Gay Root | Specialist/Technologist | 211 Rainier Ave N., Eatonville, WA 98328 | 2013-06-13 |
| 1235577222 | Joanne Thyme Barrett | Speech-Language Pathologist | 213 Rainier Ave, Eatonville, WA 98328 | 2013-06-12 |
| 1063673168 | Gloria Vaneaton Lowe | Family Medicine | 118 Washington Ave No, Eatonville, WA 98328 | 2008-06-20 |
| 1760654230 | Sandra J Forsythe | Custodial Care Facility | 34911 78th Ave E, Eatonville, WA 98328 | 2008-03-25 |
| 1689791378 | Gretchen Christine Jones | Midwife | 207 Center Street East, Eatonville, WA 98328 | 2007-03-26 |
| 1396860375 | Debra Frazier Grant | Nurse Practitioner | 207 Center St E, Eatonville, WA 98328 | 2007-03-20 |
| Find all providers in zip 98328 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457483679 | Town of Eatonville | Ambulance | 201 Center Street W, Eatonville, WA 98328 | 2007-03-12 |
| 1053385286 | Pierce County Fpd #15 | Ambulance | 5403 340th St E, Eatonville, WA 98328-9633 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1235694613 | Spencer Family Investments | Ambulance | 9514 E Montgomery Ave, Spokane Valley, WA 99206-4140 | 2019-02-09 |
| 1972073963 | Riverside Fire Authority | Ambulance | 1818 Harrison Ave, Centralia, WA 98531-1905 | 2018-12-03 |
| 1558836940 | City of Burlington | Ambulance | 350 E Sharon Ave, Burlington, WA 98233-2232 | 2018-10-11 |
| 1053800417 | Kalispel Indian Community of The Kalispel Reservation Washington | Ambulance | 1981 N Leclerc, Usk, WA 99180 | 2018-05-01 |
| 1205334810 | Stevens County Fire Protection District #1 | Ambulance | 4532 Railroad Ave, Clayton, WA 99110-9790 | 2018-01-29 |
| 1952811820 | Pend Oreille County Fire Protection District 4 | Ambulance | 11 Dalkena St, Newport, WA 99156-9768 | 2017-10-05 |
| 1215476379 | Pend Oreille Fire 3 | Ambulance | 325272 Highway 2, Newport, WA 99156-9354 | 2017-02-21 |
| 1023556289 | Snohomish County Fire Protection District No 21 | Ambulance | 12131 228th St Ne, Arlington, WA 98223-6933 | 2017-02-08 |
| 1861939977 | Thurston County Fire Protection District 17 | Ambulance | 16306 Bald Hill Rd Se, Yelm, WA 98597-7985 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
| City | EATONVILLE |
| Zip Code | 98328 |
Please comment or provide details below to improve the information on SOUTH PIERCE FIRE AND RESCUE DISTRICT NO 17.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.